Doris A Wallenburg, LMSW

NPI #1902109994 in Rock Valley, Iowa

Provider Information

NPI Number: 1902109994
Entity Type: Individual
Name: Doris A Wallenburg, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Dec 13, 2010
Last Updated: Dec 13, 2010

Practice Location

Address: 1505 20TH ST
City: Rock Valley
State: Iowa
ZIP Code: 51247-1040
Phone: (712) 541-3836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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